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In mid-April 2020, social media users shared a meme implying that hospitals had a financial incentive to inflate the number of COVID-19 patients they were admitting in the midst of the ongoing COVID-19 coronavirus disease pandemic. The meme contained red text that said, So, hospitals get an extra $13,000 if they diagnose a death as COVID-19 and an additional $39,000 if they use a ventilator! and prompted readers to ask Snopes.com to verify whether the statement is true:The idea that hospitals are getting paid $13,000 for patients with COVID-19 diagnoses and $39,000 more if those patients are placed on ventilators appears to have originated with an interview given on the Fox News prime-time program Ingraham Angle by Dr. Scott Jensen, a physician who also serves as a Republican state senator in Minnesota. During the April 9, 2020 interview, Jensen suggested to host Laura Ingraham that he believed the number of COVID-19 cases in the U.S. was being artificially inflated. The idea that we’re going to allow people to massage and sort of game the numbers is a real issue because we’re going to undermine the (public) trust, he said. Ingraham then played footage from a press conference with comments from Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, in which Fauci called claims that the number of coronavirus cases are being padded a conspiracy theory. In an exchange that followed, Jensen suggested that Medicare, the national health care plan for the elderly, was paying hospitals set amounts for each patient diagnosed and treated for COVID-19: We attempted to reach Jensen by phone and email, but did not get a response in time for publication. We also reached out to the U.S. Centers for Medicare & Medicaid Services (CMS) to ask whether the statement that Medicare was paying hospitals $13,000 and $39,000, respectively, for patients admitted with COVID-19 diagnoses and patients with the disease who are placed on ventilators. A spokesperson for CMS told us that whether hospitals are paid by Medicare for care of a COVID-19 patient would depend on whether that patient was covered by Medicare insurance. CMS also told us there is no set or predetermined amount paid to hospitals for diagnosing and treating COVID-19 patients, and the amounts would depend on a variety of factors driven by the needs of each patient. Pay-outs would also depend on the variance of the costs of medical care in different regions. The closest match for the numbers cited by Jensen we could locate was in an April 7, 2020, article published by the health care nonprofit Kaiser Family Foundation. As a starting point to estimate how much hospitals might get paid by the federal government for treating uninsured COVID-19 patients, the article used average payments for hospital admissions for similar conditions in 2017: But while these industry estimates are similar to the numbers Jensen cited, they do not represent actual Medicare payments to hospitals for COVID-19 diagnoses or treatment, or even a national average of such payments. We therefore rate this claim Mixture. While it seems plausible that Medicare disbursements to hospitals treating COVID-19 patients could be in the range given by Jensen in the Fox News interview (if those patients are covered by Medicare), we found no evidence to support Jensen's assertion that Medicare has determined that hospitals will be paid $13,000 for patients with COVID-19 diagnoses or $39,000 for COVID-19 patients place on ventilators.
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